Dr. STEPHEN JOHN MANNINO M.D.
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1679553218- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 10215 SW HALL BLVD, TIGARD, OR, 972238809
- Phone
- (503) 245-2415
- Fax
- (503) 244-5963
Specialties & Taxonomies
Dermatology
Primary License: OR #MD157027